SHELLEY LYNNE JANSSEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****32

License Status

NOT RENEWED

Business

Title

First Name

SHELLEY

Middle

LYNNE

Last Name

JANSSEN

Business Name

SHELLEY LYNNE JANSSEN MD

Original Issue Date

01/22/2018

Effective Date

01/22/2018

Expiration Date

09/30/2020

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021